Throughout Hilde Bruch's life, she criticized the belief that weight normalization would resolve all issues including personality problems because these were solely due to chaotic eating behaviors. Psychotherapy is not effective for underweight patients; nonetheless, underweightness itself is seriously hazardous. Both strict attitudes towards eating disorder behaviors and empathy regarding problems of personality are essential. Therapists should praise the clients' efforts to survive difficulties including personality problems and validate the person, while simultaneously helping them abandon eating disorder behaviors. Active collaborative intervention of psychiatric nurses and psychodynamic and cognitive―behavioral psychologists depending on the personality issues is very helpful to promote eating disorder patients' recovery, and most patients achieve remission on an outpatient basis. From this perspective, the thinness of models portrayed in the media and social networks should be controlled.
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